LAKE MEDICAL IMAGING – NPI #1609445865
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

LAKE MEDICAL IMAGING is a radiologist located in THE VILLAGES, FL. NPPES has assigned the NPI number 1609445865 to LAKE MEDICAL IMAGING on June 22, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE MEDICAL IMAGING” is a dba name, the actual legal business name for this organization is RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA L L C. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 5 years ago on Jun 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE MEDICAL IMAGING below.

NPI Profile for
RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA L L C

NPI Number
1609445865
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA L L C
Doing Business As (dba): LAKE MEDICAL IMAGING
Primary location
1451 EL CAMINO REAL
THE VILLAGES, FL 32159-0041
Phone: (352) 787-5858 Fax:
1 Other location(s):
1400 N US Highway 441 Ste 510
The Villages, FL 32159-8983
Phone: (352) 787-5858
Mailing address
734 N 3RD ST STE 115
LEESBURG, FL 34748-5287
Phone: (352) 787-5858 Fax: (352) 728-6749
Organization Subpart
No
Authorized Official
JOSHUA FLOYD
DIRECTOR, RISK MANAGEMENT
Phone: (365) 352-2583
Updated
Certification Date
Jun 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LAKE MEDICAL IMAGING

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL100952302
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.